Reps and Certs.pdf
PDF 111 KB Posted
- Solicitation number
- W912QR25QA097
About this file
This document is a Representations & Certifications form for federal contracting. The form requires a company to provide key business details, including company name, contact information, business size classification, and federal registration status. Business size options include Large Business, Small Business, HUBZone, 8(a), Women-Owned Small Business, Economically Disadvantaged Women-Owned Small Business, and Service-Disabled Veteran-Owned. The form also requires completion of SAM (System for Award Management) registration status, Tax Identification Number (TIN), Unique Entity Identifier, and CAGE Code, with references to Federal Acquisition Regulation (FAR) 52.204-7 for guidance on these entries.
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Text version
REPRESENTATIONS & CERTIFICATIONS
COMPANY NAME AND ADDRESS: _________________________________________
PHONE NUMBER: _________________________________________
EMAIL ADDRESS: _________________________________________
BUSINESS SIZE (select one or more as applicable):
____ Large Business ____ Small Business ____ HUBZone ____ 8(a) ____ Women-Owned Small Business ____ Economically Disadvantaged Women-Owned Small Business ____ Service-Disabled Veteran-Owned
CURRENTLY REGISTERED WITH SYSTEM FOR AWARD MANAGEMENT (SAM): YES ____ NO ____
(Note: See FAR 52.204-7)
TAX IDENTIFICATION NUMBER (TIN): ____________
UNIQUE ENTITY IDENTIFIER: ____________ (Note: See FAR 52.204-7. The Unique Entity Identifier is a 12-character alphanumeric code.)
CAGE CODE: ________ (Note: See FAR 52.204-7)
File details come from the government source that posted it. Updated .